Kavin J Johnson, MD is a medicare enrolled "Internal Medicine" physician in Charleston, Tennessee. His current practice location is
9029 Hiwassee St Nw, Charleston, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 665-9026.
Kavin J Johnson is licensed to practice in Tennessee (license number 21478) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689673105.
Physician's Profile
Full Name | Kavin J Johnson |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 9029 Hiwassee St Nw, Charleston, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689673105
- Provider Enumeration Date: 07/18/2005
- Last Update Date: 11/25/2014
Medicare PECOS Information:
- PECOS PAC ID: 7618981598
- Enrollment ID: I20060201000161
Medical Identifiers
Medical identifiers for Kavin J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689673105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 21478 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kavin J Johnson allows following entities to bill medicare on his behalf.
Entity Name | Spero Health Of Tennessee, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538628904 PECOS PAC ID: 0941683593 Enrollment ID: O20220816000418 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kavin J Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kavin J Johnson, MD 9029 Hiwassee St Nw, Charleston, TN 37310-5305 Ph: (423) 665-9026 | Kavin J Johnson, MD 9029 Hiwassee St Nw, Charleston, TN 37310-5305 Ph: (423) 665-9026 |
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